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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204399
Report Date: 08/14/2026
Date Signed: 09/01/2026 10:13:12 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251120153104
FACILITY NAME:VILLA REDONDO CARE HOMEFACILITY NUMBER:
198204399
ADMINISTRATOR:MARIA BRAVOFACILITY TYPE:
740
ADDRESS:237 REDONDO AVENUETELEPHONE:
(562) 434-9931
CITY:LONG BEACHSTATE: CAZIP CODE:
90803
CAPACITY:80; 80CENSUS: 56DATE:
08/14/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Jesus ChavezTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Illegal eviction
INVESTIGATION FINDINGS:
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This is an amended report, this report supersedes the original report delivered, the findings have not changed.
On 08/14/2026 around 8:00AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent unannounced visit to deliver findings. LPA met with the Assistant Administrator Jesus Chavez. LPA Anguiano explained the purpose of the visit is to deliver complaint findings.
The investigation consisted of the following: On 11/25/2025, 07/23/26, and 08/04/26 The Department conducted interviews with former Administrator Maria Bravo (A1), Assistant Administrator/Jesus Chavez (S1), and Jared Mikos/Director of Operations (S2), Skill nursing representative (W1), staff members (S3–S6), and residents (R1-R9). On 11/25/2025 The department obtained and reviewed resident (R1) Wellness Program Daily Logs dates ranging from 03/30/24 to 06/12/24, Nurse Facility Skin Integrity Report dated 03/08/24. Staff & Resident rosters dated 11/25/25, R1’s Physician's Report 10/05/022.
Please see report continuation on (LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251120153104

FACILITY NAME:VILLA REDONDO CARE HOMEFACILITY NUMBER:
198204399
ADMINISTRATOR:MARIA BRAVOFACILITY TYPE:
740
ADDRESS:237 REDONDO AVENUETELEPHONE:
(562) 434-9931
CITY:LONG BEACHSTATE:CAZIP CODE:
90803
CAPACITY:80; 80CENSUS: 56DATE:
08/14/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Jesus ChavezTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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2
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9
Staff did not allow resident to return to the facility.
INVESTIGATION FINDINGS:
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13
This is an amended report, this report supersedes the original report delivered, the findings have not changed. On 08/14/2026 around 8:00AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent unannounced visit to deliver findings. LPA met with the Assistant Administrator Jesus Chavez. LPA Anguiano explained the purpose of this visit is to deliver findings.The investigation consisted of the following:
On 11/25/2025, 07/23/2026, and 08/04/2026 The Department conducted interviews with former Administrator Maria Bravo (A1), Assistant Administrator/Jesus Chavez (S1), and Jared Mikos/Director of Operations (S2), Skill nursing representative (W1), staff members (S3–S6), and residents (R1-R9). On 11/25/2025 The department obtained and reviewed resident (R1) Wellness Program Daily Logs dates ranging from 03/30/24 to 06/12/24, Nurse Facility Skin Integrity Report dated 03/08/24. Staff & Resident rosters dated 11/25/25, R1’s Physician's Report 10/05/022.
Please see (LIC9099-C) for report continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 11-AS-20251120153104
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: VILLA REDONDO CARE HOME
FACILITY NUMBER: 198204399
VISIT DATE: 08/14/2026
NARRATIVE
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On 07/14/26 The Department collected and reviewed additional records for R1: Medical records print date 07/24/26, R1’s Needs and Service Plan 06/29/23, R1’s Admission Agreement 04/15/21, R1’s Unusual Incident Reports for dates 03/30/24, 04/01/24 and 05/13/22. On 07/22/26 The Department collected and reviewed Admission record for Bell Convalescent Hospital dated 05/07/24.The investigation revealed the following: Regarding the allegation, “Staff did not allow resident to return to the facility” it is alleged that following R1’s hospitalization and treatment for a foot infection, facility staff did not allow R1 to return to the facility.
Interviews conducted revealed the following: On 11/25/2025 and 08/04/26, The Department conducted an interview with Assistant Administrator Jesus Chavez (S1) who stated being new to the facility and not familiar with R1’s case. S1 was not working for the facility during the time R1 resided at the facility. S1 stated procedurally, the facility Wellness Director assesses a resident who is sent out to the hospital. The department conducted interviews with 4 staff (S3-S6) and found 4 out of 4 staff interviewed disagreed with the allegations. The department conducted interviews with nine residents (R1-R9) and 1 of 9 residents disagreed with the allegation (R1) agreed with the allegation. The department found 6 out of 9 (R3, R4, R6, R7, R8, R9) residents disagreed with the allegation. The department found 2 of 9 residents (R2, R5) interviewed were not knowledgeable of occurrences related to the allegation. The department conducted a review of facility documentation and R1’s medical records. The department found the following: Narrative Charting daily logs show that on 03/30/2024 (R1) was admitted to Long Beach Memorial Hospital for a left foot infection. An additional Daily Log entry dated 05/07/2024, completed by the former Wellness Director, shows that R1 was reassessed and documented to have MRSA a prohibited health condition. The same 05/07/2024 facility record further shows that the facility was unable to accommodate R1 due to treatment needed for MRSA and R1 was informed of this determination. The records reviewed did not establish that the facility refused R1’s return for reasons unrelated to his documented medical condition and care needs.
Based on the evidence gathered, interviews conducted, and records reviewed, although the allegation “Staff did not allow resident to return to the facility” may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this complaint report was provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 11-AS-20251120153104
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA REDONDO CARE HOME
FACILITY NUMBER: 198204399
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/26/2026
Section Cited
CCR
87224(c)
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Eviction Procedures (c) The licensee shall, in addition to serving the required thirty (30) day notice, sixty (60) day notice, or seeking approval from the Department and serving a three (3) day notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person.
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Licensee agreed to develop and submit a written prevention plan describing how the facility will ensure future evictions comply with Section 87224 The written plan shall be submitted to CCLD by the POC due date to Jose.Anguiano@dss.ca.gov.
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This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility failed to provide R1 the required written eviction notice, failed to provide or mail a copy to R1’s responsible person, and did not seek Department approval to serve a three-day notice. This violation posed a potential personal rights risk to R1.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 11-AS-20251120153104
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: VILLA REDONDO CARE HOME
FACILITY NUMBER: 198204399
VISIT DATE: 08/14/2026
NARRATIVE
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On 07/14/26 The Department collected and reviewed additional records for R1: Medical records print date 07/24/26, R1’s Needs and Service Plan 06/29/23, R1’s Admission Agreement 04/15/21, R1’s Unusual Incident Reports for dates 03/30/24, 04/01/24 and 05/13/22. On 07/22/26 The Department collected and reviewed Admission record for Bell Convalescent Hospital dated 05/07/24. Regarding the allegation, ‘Illegal Eviction,’ it is alleged that facility staff did not allow R1 to return to the facility and failed to provide the required written eviction notice or follow proper eviction procedures. On 11/25/2025 The department conducted an interview with (R1) and stated being informed by Former Administrator Maria Bravo (A1) that returning to the facility would not be allowed due to R1 “not being able to get out of bed,” which R1 stated was “untrue”. R1 reported no written 30 day eviction notice was not provided. R1 explained that foot became infected, the doctor sent R1 to the ER, and surgery followed. When ready to return, R1 was informed by the facility former Wellness Director that R1 would not be allowed re entry based on R1’s MRSA diagnosis. The department obtained and reviewed the facility Narrative Charting daily logs and found that on 05/07/2024, staff the former Wellness Director (S8) documented a discussion with R1 regarding the facility inability to accommodate R1 and informed R1 would not be returning to the facility. Additional Daily Log dated 05/13/2024 at 10:20 AM, indicate Former Administrator (A1) contacted R1 and again informed verbally that the facility would not accept R1 back. The facility was unable to provide a copy of a 30-Day eviction notice to R1 or confirm that a written eviction notice was provide to R1. The department conducted a review if facility records was unable to find a written eviction notice, indicating required specific facts (date, place, witnesses, circumstances). The department was unable to confirm 30-Day eviction notice was served or mailed to R1 or R1’s person responsible or that proper eviction procedures were followed. The department found the R1 was communicated verbally by A1 and S8 without providing the required written notice or following regulatory eviction procedures.
Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegations are found to be SUBSTANTIATED. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8. A citation is being issued on the attached (LIC-9099D).

An exit interview, a copy of this report and appeal rights were provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 11-AS-20251120153104
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: VILLA REDONDO CARE HOME
FACILITY NUMBER: 198204399
VISIT DATE: 08/14/2026
NARRATIVE
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On 07/22/26 The Department collected and reviewed Admission record for Bell Convalescent Hospital dated 05/07/24.
Regarding the allegation, ‘Illegal Eviction,’ it is alleged that facility staff did not allow R1 to return to the facility and failed to provide the required written eviction notice or follow proper eviction procedures.
On 11/25/2025 The department conducted an interview with (R1) and stated being informed by Former Administrator Maria Bravo (A1) that returning to the facility would not be allowed due to R1 “not being able to get out of bed,” which R1 stated was “untrue”. R1 reported no written 30 day eviction notice was not provided. R1 explained that foot became infected, the doctor sent R1 to the ER, and surgery followed. When ready to return, R1 was informed by the facility former Wellness Director that R1 would not be allowed re entry based on R1’s MRSA diagnosis. The department obtained and reviewed the facility Narrative Charting daily logs and found that on 05/07/2024, staff the former Wellness Director (S8) documented a discussion with R1 regarding the facility inability to accommodate R1 and informed R1 would not be returning to the facility. Additional Daily Log dated 05/13/2024 at 10:20 AM, indicate Former Administrator (A1) contacted R1 and again informed verbally that the facility would not accept R1 back. The facility was unable to provide a copy of a 30-Day eviction notice to R1 or confirm that a written eviction notice was provide to R1. The department conducted a review if facility records was unable to find a written eviction notice, indicating required specific facts (date, place, witnesses, circumstances). The department was unable to confirm 30-Day eviction notice was served or mailed to R1 or R1’s person responsible or that proper eviction procedures were followed. The department found the R1 was communicated verbally by A1 and S8 without providing the required written notice or following regulatory eviction procedures.
Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegations are found to be SUBSTANTIATED. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8. A citation is being issued on the attached (LIC-9099D).

An exit interview, a copy of this report and appeal rights were provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6